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Case Report: 3D-Printed Prosthesis for Limb Salvage and Joint Preservation After Tibial Sarcoma Resection

INTRODUCTION: Reconstruction of massive tibial defects in ankle joint-preserving surgery remains challenging though biological and prosthetic methods have been attempted. We surgically treated a patient with only 18-mm distal tibia remaining and reconstructed with a unique three-dimensional printed...

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Autores principales: Guo, Zehao, Zhang, Ran, Que, Yukang, Hu, Bo, Xu, Shenglin, Hu, Yong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9195185/
https://www.ncbi.nlm.nih.gov/pubmed/35711702
http://dx.doi.org/10.3389/fsurg.2022.873272
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author Guo, Zehao
Zhang, Ran
Que, Yukang
Hu, Bo
Xu, Shenglin
Hu, Yong
author_facet Guo, Zehao
Zhang, Ran
Que, Yukang
Hu, Bo
Xu, Shenglin
Hu, Yong
author_sort Guo, Zehao
collection PubMed
description INTRODUCTION: Reconstruction of massive tibial defects in ankle joint-preserving surgery remains challenging though biological and prosthetic methods have been attempted. We surgically treated a patient with only 18-mm distal tibia remaining and reconstructed with a unique three-dimensional printed prosthesis. CASE PRESENTATION, INTERVENTION, AND OUTCOMES: A 36-year-old male presented to our clinic with complaints of gradually swelling left calf and palpable painless mass for five months. Imageological exam indicated a lesion spanning the entire length of the tibia and surrounding the vascular plexus. Diagnosis of chondrosarcoma was confirmed by biopsy. Amputation was initially recommended but rejected, thus a novel one-step limb-salvage procedure was performed. After en-bloc tumor resection and blood supply rebuilding, a customized, three-dimensional printed prosthesis with porous interface was fixed that connected the tumor knee prosthesis and distal ultra-small bone segment. During a 16-month follow-up, no soft tissue or prosthesis-related complications occurred. The patient was alive with no sign of recurrence or metastasis. Walking ability and full tibiotalar range of motion were preserved. CONCLUSIONS: Custom-made, three-dimensional printed prosthesis manifested excellent mechanical stability during the follow-up in this joint-preserving surgery. Further investigation of the durability and rate of long-term complications is needed to introduce to routine clinical practice.
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spelling pubmed-91951852022-06-15 Case Report: 3D-Printed Prosthesis for Limb Salvage and Joint Preservation After Tibial Sarcoma Resection Guo, Zehao Zhang, Ran Que, Yukang Hu, Bo Xu, Shenglin Hu, Yong Front Surg Surgery INTRODUCTION: Reconstruction of massive tibial defects in ankle joint-preserving surgery remains challenging though biological and prosthetic methods have been attempted. We surgically treated a patient with only 18-mm distal tibia remaining and reconstructed with a unique three-dimensional printed prosthesis. CASE PRESENTATION, INTERVENTION, AND OUTCOMES: A 36-year-old male presented to our clinic with complaints of gradually swelling left calf and palpable painless mass for five months. Imageological exam indicated a lesion spanning the entire length of the tibia and surrounding the vascular plexus. Diagnosis of chondrosarcoma was confirmed by biopsy. Amputation was initially recommended but rejected, thus a novel one-step limb-salvage procedure was performed. After en-bloc tumor resection and blood supply rebuilding, a customized, three-dimensional printed prosthesis with porous interface was fixed that connected the tumor knee prosthesis and distal ultra-small bone segment. During a 16-month follow-up, no soft tissue or prosthesis-related complications occurred. The patient was alive with no sign of recurrence or metastasis. Walking ability and full tibiotalar range of motion were preserved. CONCLUSIONS: Custom-made, three-dimensional printed prosthesis manifested excellent mechanical stability during the follow-up in this joint-preserving surgery. Further investigation of the durability and rate of long-term complications is needed to introduce to routine clinical practice. Frontiers Media S.A. 2022-05-27 /pmc/articles/PMC9195185/ /pubmed/35711702 http://dx.doi.org/10.3389/fsurg.2022.873272 Text en Copyright © 2022 Guo, Zhang, Que, Hu, Xu and Hu. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Surgery
Guo, Zehao
Zhang, Ran
Que, Yukang
Hu, Bo
Xu, Shenglin
Hu, Yong
Case Report: 3D-Printed Prosthesis for Limb Salvage and Joint Preservation After Tibial Sarcoma Resection
title Case Report: 3D-Printed Prosthesis for Limb Salvage and Joint Preservation After Tibial Sarcoma Resection
title_full Case Report: 3D-Printed Prosthesis for Limb Salvage and Joint Preservation After Tibial Sarcoma Resection
title_fullStr Case Report: 3D-Printed Prosthesis for Limb Salvage and Joint Preservation After Tibial Sarcoma Resection
title_full_unstemmed Case Report: 3D-Printed Prosthesis for Limb Salvage and Joint Preservation After Tibial Sarcoma Resection
title_short Case Report: 3D-Printed Prosthesis for Limb Salvage and Joint Preservation After Tibial Sarcoma Resection
title_sort case report: 3d-printed prosthesis for limb salvage and joint preservation after tibial sarcoma resection
topic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9195185/
https://www.ncbi.nlm.nih.gov/pubmed/35711702
http://dx.doi.org/10.3389/fsurg.2022.873272
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